Abanye abantu bathi njalo uma i-CT eyengeziwe, ingozi yomdlavuza ikhuphuka ngo-43%, kodwa lesi simangalo senqatshwe ngazwi linye ngodokotela bemisebe. Sonke siyazi ukuthi izifo eziningi zidinga "ukuthathwa" kuqala, kodwa i-radiology ayiyona nje umnyango "othathwe" kuphela, ihlangana neminyango yezokwelapha futhi idlala indima enkulu ekuxilongweni nasekwelapheni izifo.
Yiba “ngamehlo” kadokotela
“Isifuba silingana, i-mediastinum kanye ne-trachea ziphakathi nendawo, futhi ukuthungwa kwamaphaphu kuyinto evamile…” Lapho intatheli ixoxa, udokotela we-radiologist wayebhala umbiko wokuxilonga we-CT yesifuba sesiguli. Ngokombono kaTao Xiaofeng, umbiko wokuhlolwa kwezithombe unquma ukwenziwa kwezinqumo zezokwelapha ngezinga elithile futhi awukwazi ukuyekethisa. “Uma ukuskena kufundwe kabi, kungathinta uhlelo lokwelashwa. Ngakho-ke, ngamunye kufanele adlule ezandleni zodokotela ababili, futhi bobabili kufanele basayine.”
“Umdlavuza uwukutholakala kusenesikhathi kanye nokwelashwa kusenesikhathi, futhi manje abantu banaka kakhulu amaqhubu emaphashini. Iziguli ezinomdlavuza wamaphaphu kusenesikhathi zingaphila isikhathi eside ngemva kokuhlinzwa, futhi zize zithole ukwelashwa kwezokwelapha, okuzuza ngokuhlolwa kwezithombe kusenesikhathi kanye nokuxilongwa okunembile.” UTao Xiaofeng uthe uma sithatha umdlavuza wamaphaphu njengesibonelo, kunezindlela eziningi zokuhlola kusenesikhathi, kodwa ebucayi kakhulu futhi enembile yi-chest CT.
Isiguli esifakelwe isibindi sithole “umdlavuza wamaphaphu” esibhedlela esingaphandle, siphethe “ingqondo enenhlanhla” yokugcina safika emtholampilo kaTao Xiaofeng. “Kukhona iqhubu eliyindilinga efilimini, elibukeka njengomdlavuza wamaphaphu. Kodwa ucwaningo olucophelelayo lomlando lubonise ukuthi isiguli sasithathe imithi yokuzivikela, ukumelana kwaso kunciphile, futhi besikhwehlela isikhathi esingaphezu kwenyanga, ngakho-ke lesi sithunzi samaphaphu kungenzeka ukuthi sibangela ukuvuvukala.” UTao Xiaofeng wasikisela ukuthi abuyele ayophumula futhi aqinise ukudla okunomsoco, ngemva kwenyanga, isilonda sancipha ngempela, futhi isiguli sagcina sikhululekile..
Qhubeka nokuhlola nokusebenzisa ubuchwepheshe obusha
I-Radiology ingaba umnyango "obaluleke kakhulu" esibhedlela, Igumbi likaDkt., igumbi le-CT, igumbi le-MRI, igumbi le-DSA… Imishini yokuhlola ethuthukisiwe isiza odokotela “ukubamba” kangcono izimpawu zesifo. Isibhedlela iShanghai Ninth singesinye sezibhedlela zokuqala ukwethula ukufundwa kwesithombe okusizwa yi-AI, uhlelo lokuxilonga olusizwa yi-AI lungakwazi ukuthola amacala amahle kakhulu nezindawo ezigxile kuzo, bese luthunyelwa kudokotela we-radiologist ukuze kutholakale ukuxilongwa okwengeziwe, ngaleyo ndlela kulondolozwe inani elikhulu lemininingwane yamacala amabi ethathwe ngabasebenzi. UTao Xiaofeng uthe ngaphansi kwemodi yokwenziwa yendabuko, umthwalo womsebenzi wansuku zonke wodokotela abathwebula izithombe mkhulu kakhulu, umsebenzi wesikhathi eside uzoholela ekukhathaleni kwamehlo, umoya awukwazi ukugxila kakhulu, ukwethulwa kobuhlakani bokwenziwa ukwenza ukuhlolwa kokuqala, kuthuthukisa kakhulu ukusebenza kahle kodokotela.
“I-Radiology iwumkhakha oncike kokuhlangenwe nakho, ubuchwepheshe buhlala buthuthuka, ububanzi bezifo buhlala bushintsha, odokotela be-radiology akumele babe nolwazi oluphelele lwezokwelapha, kodwa futhi baqhubeke nokufunda amasu amasha namakhono amasha ukuze kuzuze iziguli eziningi.” kusho uTao Xiaofeng. Emsebenzini wakhe, uthole ukuthi amasu amasha e-MRI, njenge-diffusion-weighted imaging kanye ne-dynamic enhanced magnetic resonance imaging, anenani elikhulu lokusebenza ekuxilongweni kwama-nodule e-thyroid, okwakhuthaza ukusetshenziswa kwezokwelapha kwezindlela ze-CT ne-MRI zokuxilongwa kwangaphambi kokuhlinzwa kanye nokuhlolwa kwama-nodule e-thyroid. Wasebenzisa nezindlela ze-molecular imaging ukunquma imingcele yesimila se-brain glioma kanye ne-head and neck squamous cell carcinoma, futhi wahlola ukubaluleka kwe-c-Met polymorphism ekukhuleni kwe-tumor kanye nokuthuthukiswa kwe-glioma kanye ne-head and neck squamous cell carcinoma, futhi wenza intuthuko enkulu.
Yenza umbiko ube onembile futhi othinta inhliziyo
Emnyangweni we-radiology weSibhedlela sesishiyagalolunye, amacala anzima asele ngosuku olwedlule axoxwa njalo ekuseni. Ngokombono kaTao Xiaofeng, odokotela be-radiology kufanele bafunde kabanzi futhi babone okwengeziwe, isibonelo, amafilimu abantu abaningi abukeka ngendlela ehlukile, kodwa bangase babe nesifo esifanayo; Kukhona nabantu abanezithunzi ezifanayo, kodwa ezihlukile ngokuphelele. Ngakho-ke, kubalulekile ukunaka isimo sezifo ezahlukene kanye nezithunzi ezahlukene. Ngezinye izikhathi isithombe esincane, esingabalulekile singathinta isahlulelo.
UTao Xiaofeng “uzoshintsha umsebenzi wakhe wesikole” kodokotela abasebasha njalo ngeviki ukuze abone ukuthi imibiko yabo inembile yini, futhi anake ukukhombisa izinga lokushisa kwezokwelapha, ngoba ifilimu ngayinye ithinta injabulo nokukhathazeka kweziguli. Isibonelo, izimpawu esithombeni kufanele zinikeze incazelo enengqondo, kodwa zingabhali “ngokuqondile” kakhulu, zizothusa isiguli; Uma isiguli siphinde sihlolwe, kodwa futhi ngokucophelela ngaphambi nangemuva kokuqhathaniswa. Isibonelo, ukunemba kokufundwa kwe-AI kuphezulu kakhulu, amaqhubu amaningi angenakubaluleka kwezokwelapha “azokhishwa”, ngesinye isikhathi i-AI yasikisela ukuthi isiguli sinamaqhubu angu-35, angaphezu kwe-10 ayingozi enkulu, khona-ke udokotela udinga ukuhlola nokuhlukanisa ngokucophelela, futhi ekugcineni anake amagama lapho ebhala umbiko, ukuze agweme ukubangela ukukhathazeka ngokweqile kweziguli.
Kulezi zinsuku, izithombe zezokwelapha zingene kuzo zonke izingxenye zezokwelapha, kusho uTao, ukufunda ngokucophelela ifilimu kungadonsa ukuxilongwa okufanele futhi kunikeze isisekelo sokwelashwa okuphumelelayo. Odokotela bemisebe bafana nabantu abafuna ukukhanya abalwela umhlaba wezithombe, befuna ukukhanya kwethemba kweziguli ezivela esithombeni.
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Isikhathi sokuthunyelwe: Ephreli-03-2024
